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A senior is healing a bone in the hospital where some in room Physical Therapy has begun, we are now being told that no regular inpatient P.T> facility will accept because she does not yet have full weight bearing in the healing leg, so she must instead go to a nursing home, and this is what is still not being made clear to me, but it sounds as though all attempts at further rehab will be abandoned.

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Kanzinger, your mother's (?) situation is similar to my mother's after she fell and fractured her leg (if I understand her situation correctly.) My mother's orthopedic doctor advised that she was to be non weight bearing, I think for about 6 weeks. She had already been accepted into rehab facility; they merely changed the exercises so that she did them on a non weight bearing status until she was cleared by her doctor to stand on that leg.

She will get much more PT, and probably OT, than she gets in the hospital. In my experience, duration of each varies from 1/2 hour to 3/4 of an hour. For anyone recovering from an injury, that's usually enough; much more would exhaust him/her.

BTW, in my experience hospitals refer to selected rehab facilities, and also recommend selected private duty and home health care agencies. I won't say there's favoritism, or partiality, but the discharge planners in my experience don't offer a wide range of choices for rehab.

I think during the care meeting you should clarify specifically why the facilities allegedly won't accept a nonweight bearing patient.
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It doesn't sound to me like anyone is writing her off, just allowing the bone time to heal.

There are many nursing homes that also have rehab facilities within them. Choosing a facility like that might be in your mom's best interest, so that she doesn't have to move once she's there.

Let us know how your meeting goes!
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Pamstegma ,
That is what I am beginning to understand , but can you tell me if you know by " skilled care "
would that mean at least the level of Physical Therapy she is getting now in the hospital ?
Thank You
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BarbBrooklyn,
Thank you for your input. By " her state " I only meant her mobility issue with the healing bone .
Not only is she cooperating , but I have been told by the nurses that she is even continuing to do the sitting exercises she has been shown by the P.T. during her daily
1 hour therapy , throughout the rest of the day on her own .
The thought of her being written off , if that is indeed what is happening , as she is so
eager to improve that she does the exercises on her own without even being told
breaks my heart .
I just pray that is not what is afoot right now and I will be sure to get the answers nailed down as the family is supposed to have a sit down conference with all staff involved either tomorrow or Tuesday .
Thank you again for your help
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It sounds like she will go to a nursing home for "skilled care" until she is able to do the "rehab PT" part. I would not say abandoned, just postponed until she is ready.
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You want to ask if she can go to a rehab facility after the bone heals, and will it be covered by Medicare for getting customary 21 days.

Or, are they saying that your mother will not qualify for rehab at All? When you say " in my mother's state, what do you mean? Does she have advanced dementia?

If she can no longer understand instructions, or if she is combative when attempts at pt are made, they maybe saying Yat she would not benefit from PT.
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So, you ned to sit down with the folks in the discharge department and have them spell this out, because it's very confusing.

Your mom cannot go directly to rehab because she cannot yet do full on pt. The bone needs to heal, but she still requires nursing services?
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